Abstract
Study Aim
Recent investigations have suggested that CPR training rates are low within the U.S
and barriers to CPR training are poorly understood. Social media holds great potential
for large scale capture of the public’s CPR training experiences and may illuminate
barriers to CPR training. While studies have examined Twitter data for behaviors associated
with cardiovascular health, no investigation has evaluated Twitter data to understand
public perception of CPR training. We characterized Tweet content about CPR training
and associated sentiment to better understand barriers associated with CPR training.
We hypothesized that negative CPR training impressions would be identifiable as barriers
to CPR training attainment.
Methods
We extracted Tweets from 2011 to 2015 originating in Pennsylvania including the keyword
CPR (n = 8419). A random subset of 1000 tweets was independently coded by two authors
using grounded theory (mean kappa = 0.74). CPR training Tweets were analyzed for subtopic
and sentiment (“positive” or “negative”). Descriptive statistics were used; a chi
squared test was used to examine differences in positive and negative responses.
Results
Of 8419 Tweets, CPR training was the most frequent queried result (16%). Within the
coded 1000 subset, 18% referenced a CPR training experience. Upcoming CPR training
(22%), CPR training curriculum (17%), job-related training (12%), and duration of
training (10%) were the most discussed topics regarding CPR training experiences.
Of those, the majority of CPR training experiences were negative (53% vs. 47%, p < 0.01)
and barriers to CPR training emerged as the primary source of negative experiences.
Conclusions
CPR training is the most referenced theme in CPR Tweets from Pennsylvania, and tweets
were predominately negative, particularly referencing barriers such as time, location,
and duration. Social media is useful for tracking barriers to CPR training attainment
and future CPR education modalities.
Keywords
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Article info
Publication history
Published online: March 12, 2018
Accepted:
March 5,
2018
Received in revised form:
February 28,
2018
Received:
August 21,
2017
Identification
Copyright
© 2018 Elsevier B.V. All rights reserved.